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Splenic irradiation in treating warm autoimmune haemolytic anaemia
1986
BMJ (Clinical Research Edition)
An elderly man with severe congestive heart failure was noted to have a haemoglobin concentration of 87 g/l and a reticulocyte count of 13%. Direct Coombs test yielded a positive result and the serum contained a moderate amount of warm antibody (IgG class). Steroids were given, but to no avail, and the patient's condition precluded splenectomy. A course of splenic irradiation was therefore tried (midline dose 2000 cGy (rads)), and 60 days later the blood film showed similar appearances to those
doi:10.1136/bmj.293.6551.839
fatcat:jivxjmsoubea7p4jppgonv66se